Analysis of acne-related judicial precedents from 1997 to 2018 in South Korea

( Ji Hoon Yang ),( Soo Ick Cho ),( Su Hwan Shin ),( Won Lee ),( So Yoon Kim ),( Dae Hun Suh ) 대한피부과학회 2019 대한피부과학회 학술발표대회집 Vol.71 No.2

Background: Medicolegal disputes are increasing in practical medicine. Acne is a common problem but is usually related to cosmetic problems such as acne scars. Medications or procedures related to acne could lead to medical malpractice. Objectives: To analyze medical litigation associated with acne or acne scar in South Korea. Methods: Acne-related judgements were searched using the Supreme Court of Korea’s Written Judgment Management System based on the keywords “acne” or “acne scar.” Results: Eleven cases were selected as litigated cases of acne or acne scar. Eight cases (72.7%) were related to acne scar and three (27.3%) were related to acne. Treatment modalities such as peeling (n = 6), laser treatment (n = 3), photodynamic therapy (n = 1), and antibiotic (n = 1) resulted in lawsuit. Claimed sequelae of the treatment were hyperpigmentation (n = 5), scar worsening (n = 5), erythema (n = 3), skin bumps (n = 1), and liver transplant (n = 1). Eight cases (72.7%) were awarded to the plaintiff, and the others were dismissed. The average awarded amount was 16,801,324± 24,452,486 (mean±standard deviation) Korean Won. Conclusion: Various treatments for acne or acne scar can cause medical disputes. Unnecessary litigation could be prevented if simple measures such as history taking, choosing proper procedure, and adequate management after the procedure along with sufficient informed consent were performed.

기질 특성이 청소년기 비행행동에 미치는 영향

양재원,노일석,홍성도,김지혜 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.3

Objectives : The purpose of this study is to investigate the characteristics of the temperament and character of juvenile delinquents, and to explore the effect of those factors on juvenile delinquent behavior. Methods : 128 male and 29 female juvenile delinquents on probation, and 66 male and 69 female students in the lOth and the 11th grade, completed Junior Temperament and Character Inventory (JTCI), anxiety, depression scales and Latent Delinquency Questionnaire. Results : Male juvenile delinquents showed significantly higher 'novelty seeking', and lower 'harm avoidance' and 'persistence' in JTCI subscales, compared to normal control group. Stepwise multiple-regression analysis showed that 'novelty seeking'and 'harm avoidance' were significantly predicting juvenile delinquent behavior. In the case of the female adolescents, delinquent group was significantly lower 'harm avoidance' than normal groups, and stepwise multiple regression analysis showed 'self-transcendence' was the only significant predicting variable for juvenile delinquent behavior. Conclusion : Based on the results, temperament was related to the juvenile delinquent behavior especially for male delinquent adolescents.

대기오염이 기관지 천식의 악화에 미치는 영향

류지원,어수택,김기업,이영목,김양기,홍성아,전창균 순천향의학연구소 2007 Journal of Soonchunhyang Medical Science Vol.13 No.1

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하악골 골절수술에서 흡수성 골고정장치의 유용성

문재원,천지선,양정열 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

Introduction: The mandible is one of frequent facial bone fracture due to anatomic configuration like the nose and zygoma. When the mandible fractures occured, displacement of segments developed by pulling of strong muscles. And so for reduction of fractured mandible, rigid fixation needs for prevention of displacement. Metal plates and screws are most appropriate device to obtain for prevention of displacement in case of mandible fracture. But metal devices are hampered by temperature sensitivity and interference with radio-graphic imaging, leading corrosion, inflammatory response, the effect of atrophy of cortical bone, the need for a subsequent operation for removal. To overcome drawbacks of metal rigid fixation devices, there had been a continuous research on the development of a bioabsorbable skeletal fixation system using polymers of polylactic and polyglycolic acid. Material and Method: One hundred sixty eight fractures of the mandible in 110 patients (84 male patients and 26 female patients) were treated by open reduction and internal fixation using bioabsorbable plates and screws (BiosorbFX^(R), Bionix Implants, Inc., Finland). The average age is 36.5 years old. Total number used absorbable devices and 972 (182 plates and 790 screws). Patients were evaluated during the follow-up period, which ranged from 1 to 30 months. Common fracture sites are para symphysis (26%), body (19%) and angle (18%) which are experienced. Intermaxillary fixation placed before operation but removed after internal fixation of absorbable devices. After 5 days from operation, temporomandibular joint movement are started. We encountered no significant intraoperative difficulties obtaining placement of the devices. Result: None of patients has been experienced any implant-related complication including fracture instability or relapse, or radiographic evidence of osteolysis except one case of delayed osteomyelitis and four cases of intraoral infections. Conclusion: Absorbable devices have many advantage, that are lower infection rates, satisfactory strength, no metallic irritation, no restrictive growth of the neurocranium in pediatric patients, only one surginal procedure. Absorbable devices have some problems, such as slow and expense. But we experienced good results using absorbable devices to mandible fracture, and these results indicate that the use of bioabsorbable implants can be considered routinely for the fixation of mandible fractures.

엄지손가락 과다증을 동반한 수열에서 이엽피판을 이용한 제 1 갈퀴막 공간의 재건

문재원,천지선,양정열 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.2

Cleft hand is a rare disease that is characterized by absence of one or more digits, It was introduced by Abroise Pare in 1575. The cause of this is not identified yet. Polydactyly is defined as normally pentadactylous hand with excess digits, It was reported that the possible cause of polydactyly is increased folding of AER(apical ectodermal ridge). There are so rare cases that cleft hand is accompanied with preaxial polydactyly. We experienced a case of cleft hand with preaxial polydactyly. That case had narrowing of first web space and thumb polydactyly. Untilil now, there have been so many methods of reconstruction of web such as skin graft, z-plasty, dorsal and volar flap, etc. We reconstruct the first web with bilobed flap elevated from polydactylized thumb. As it has good results of functional and cosmetic properties, It's very useful to use accessory tissue from polydactylized finger such as our case.

자살 시도에 영향을 미치는 정신사회적 요인

허지원,최광연,이분희,심세훈,양종철,김용구 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.2

Objectives : A lots of studies have investigated the psychosocial characteristics of suicidal attempters in order to find eff-cient coping strategy and treatment intervention. The purpose of this study was to examine the psychosocial factors affecting the suicide attempt in psychiatric patients. Methods : Two hundred eighty patients who attempted suicide and admitted in the emergency room in 3 university hospitals from December 2003 to May 2006 were recruited in this study. The patients were interviewed using Structured Clinical Inter-view for DSM-IV Axis I disorder (SCID-RV), Lethality of Suicide Attempt Ratings Scale (LSARS) and Risk-Rescue Rating system (RRR). Results : The suicide attempters have psychosocial characteristics of female preponderance, age 20-39, high school in educational level, married in marriage condition, inoccupation, house makers in occupation. Most of attempters used the non-severe methods such as drug ingestion or wrist cutting, and selected home as the place of attempt. The delay until discovery was less than 4 hours for most suicide attempters, and the rate of asking for help directly or dropping clues were high. Major depressive disorder was the most common psychiatric illness among attempters. Conclusions : The present study would be the early stage to explore the risk factor and protect factor of suicidal attempt. This study suggests that the closed observation to potential-suicidal attempter in daily life is critical to protect against the fatal results due to suicidal attempts.

출생 전 스트레스와 감금 스트레스가 흰쥐 편도복합체 별아교세포에 미치는 영향 : I. 별아교세포의 세포체에 미치는 영향

이지용,최병영,김동희,정원석,조병필,양영철 韓國電子顯微鏡學會 2008 Applied microscopy Vol.38 No.3

신경계통의 가소성은 신경세포의 변화에 의해 이루어질 뿐 아니라 신경아교세포의 변화에 의해서도 이루어진다. 신경아교세포 중 별아교세포는 신경세포의 기능을 조절하므로 정상적인 뇌의 기능을 유지하는데 매우 중요하다. 뇌에서 편도복합체는 위험 혹은 유해한 일련의 감각정보를 받아들이는 구역으로 받아들인 일련의 이와 같은 정보를 통합하고 변환시켜 공포라는 감정을 만들어낸다. 이런 과정은 편도복합체 신경세포에서 분비되는 신경전달물질의 균형변화에 의해 이루어지며, 신경전달물질의 조절에 별아교세포가 관여하므로 본 연구에서는 출생 전 스트레스와 성장 후에 받은 스트레스가 편도복합체 별아교세포의 세포체에 어떤 영향을 미치는지 조사하였다. 이를 위해 흰쥐를 스트레스를 받지 않은 대조군 (CON), 성장 후 스트레스를 받은 군(CONR), 출생 전 스트레스를 받은 군(PNS), 출생 전 스트레스와 성장 후 스트레스를 모두 받은 군 (PNSR)으로 구분하였다. 별아교세포는 GFAP 항체를 이용한 면역조직화학 염색을 시행하여 확인하였으며, methylene blue/azure II로 대조 염색하였다. Neurolucida 프로그램을 이용하여 계측한 별아교세포의 세포체는 일부 편도복합체 신경핵에서 출생 전 스트레스를 받은 PNS군이 대조군에 비하여 면적이 증가하였으며, 이런 경향은 출생전 스트레스를 받고 다시 성장 후 스트레스를 받은 PNSR군에서 더욱 증가하였다. 따라서 흰쥐의 편도복합체에 분포하는 별아교세포는 스트레스에 영향을 받아 비대해지는 경향을 보인 것으로 나타났으며, 출생 전 스트레스가 성장 후에도 영향을 미치는것으로 사료된다. The plasticity of nervous system is generated not only due to changes in neurons but also due to changes in neuroglial cells. Astrocyte is important for maintaining the normal brain function and controlling the neuronal functions. The amygdala receives an array of important sensory information of danger signals. This information is further transduced and integrated to produce the highly adaptive emotion, fear. In this study, morphometric changes in the cell bodies of astrocytes in the amygdala, induced by prenatal stress and restraint stress were examined. For this purpose, rats were classified into 4 groups; control group (CON), only restraint-stressed (starting on P90 for 3 days) group (CONR), prenatally-stressed group (PNS), and prenatally and restraint (on P90 for 3 days) stressed group (PNSR). Astrocytes were verified with anti-GFAP immunohistochemistry, counter stained with methylene blue/azure II and were examined using the Neurolucida. Results showed that astrocytes in the amygdala of PNS rats had significantly larger cell bodies than did CON rats and this was enhanced further by restraint stress. Thus this data showed that hypertrophy of the astrocytic cell bodies of amygdala complex is induced by prenatal and restraint stress.

天然闊葉樹林內 主要 構成 樹種의 天然更新 樣相

金知洪,梁熙文,金光澤,李元燮,姜聲基 강원대학교 삼림과학연구소 2001 Journal of Forest Science Vol.17 No.-

이 연구는 "국유림 경영 현대화 산학 협동 실연 연구"의 일환으로 강원도 평창군 가리왕산 일대 천연활엽수림을 대상으로, 주요 수종별 천연갱신 특성을 평가하여 연구대상 산림의 전반적인 천연갱신에 대한 종합적인 생태적 정보를 제공하고자 실시되었다. 수종별 천연갱신 특성을 요약하면 다음과 같다. 거제수나무 : 비산되는 종자이므로 종자 공급에는 문제가 없으나, 종자 발아를 위해서 노출된 광물질토양이 필요하며, 두꺼운 낙엽층은 종자 발아를 제한한다. 발아 후 갱신치수는 다량의 광선을 필요로 한다. 고로쇠나무 : 내음성은 강하나, 치수의 내건성이 약하므로 50% 이상의 피음을 요구하며, 우량 형질의 임목 조성을 위해 높은 초기 밀도를 유지하여야 한다. 맹아정신력은 높다. 난티나무 : 수분 요구도가 높고 내음성이 약하므로 60% 가량의 상층 울폐도를 유지하여 보습과 광선유입이 원활하여야 하며, 치수 활착을 위해서 관목류 및 기타 식생으로부터 경쟁 요인을 제거한다. 들메나무 : 종자 발아를 위해 광물질 토양의 노출이 필수적이며, 치수 활착을 위해서 다량의 수분과 광선이 요구되고, 지피식생에 의한 치수의 피압이 우려되므로 임지정리작업 도입이 필수적이다. 물푸레나무 : 종자 결실의 풍흉이 심하며, 두꺼운 낙엽층은 종자발아를 제한한다. 치수 활착시 지피식생에 의한 피압이 우려되므로 임지정리작업의 도입이 필수적이다. 신갈나무 종자공급의 문제(설치류에 의한 피해) 및 두꺼운 낙엽층 및 조릿대 밀생 지역에서는 종자발아가 제한되며, 치수 발생 후, 임관의 50% 이상을 열어줄 필요가 있고, 맹아갱신력이 높다. 음나무 : 두꺼운 낙엽층은 종자발아를 제한하며, 유령목 생육에 다량의 광선이 요구된다. 젓나무 : 내음성은 강하나, 유령목 단계에서 생육은 극히 저조하다. 층층나무 : 동물에 의해서 종자가 산포되지만 종자 피해는 불가피하며, 발아와 치수 활착을 위해서 단량의 광선이 요구된다. 피나무 : 종자 충실률이 낮고 이중 휴면성 때문에 종자 공급에 어려움이 있으며, 두꺼운 낙엽층은 종자발아의 걸림이 되므로 광물질 토양이 필요하고, 맹아갱신력이 매우 높다. Forming a part of "Cooperative Practical Study for the Modernization of the Management of National Forest", this study was conducted to provide overall ecological information for the natural regeneration of major tree species on the basis of community structural attributes in the deciduous forest ecosystem. Followings are summarized characteristics of the natural regeneration for the selected tree species. Betula costata : Although large number of seeds are dispersed by wind, they require mineral soils to germinate. Thick litter layer could be an obstacle to germinate. After germination, the seedling requires large amount of light for successful establishment. Acer mono : Characterized by high shade tolerance and weak drought resistance, the seedling should be overcasted with more than 50% of canopy coverage. High stand density should be maintained to produce good quality of timber. The potential of coppice may be high. Ulmus laciniata : Since this species needs high rate of troll moisture and light, around 60% of canopy coverage should be maintained to retain moisture and incoming light. The competition with other vegetation should be removed for the favor of successful seedling establishment. Fraxinus mandshurica : This species requires moist mineral soils to germinate. After germination, the seedling needs large amount of light and moisture for successful establishment. Site preparation should be applied to reduce competition with weedy vegetation. Fraxinus rhynchophylla : Interval of large seed crops may be highly varied. Thick litter layer could be an obstacle to germinate. Site preparation should be applied to reduce competition with weedy vegetation so as to achieve successful seedling establishment Quercus mongolica : Including the difficulty of seed supply by the consumption, thick litter layer and mountain bamboo cover could be the obstacle to germinate. More than 50% of relative light intensity is necessary to achieve successful seedling establishment. Kalopanax pictus : Thick litter layer could be an obstacle to germinate. The seedling needs large amount of light and moisture for successful establishment. Abies holophylla : In spite of high shade tolerance, the growth rate in sapling stage may be extremely slow. Cornus controversa : Seeds (drups) are consumed and dispersed by animals, tending to be not sufficient in seed supply. This species requires large amount of light for successful germination and seedling establishment. Tilia amurensis : The difficulty of seed supply might be expected with low seed purity and double dormancy. Since thick litter layer could be an obstacle to germinate, the species requires moist mineral soils for successful germination. The potential of coppice may be extremely high. Key words : natural deciduous forest, natural regeneration microtopography

Benson's Group Additivity Method를 이용한 염화다환방향족 화합물의 열역학적물성치 평가와 생성반응경로에 관한 연구

임지선,박자영,원양수,최성필 嶺南大學校 環境問題硏究所 1995 環境硏究 Vol.15 No.1

도시폐기물 소각시설에서 다이옥신류는 chlorobenzene, chlorophenols, PCBs등의 염소성분이 포함된 방향족화합물과 함께 폐기물의 소각처리시 불완전 연소로 인해 주로 생성된다. 이들 다이옥신 생성에 대한 반응메카니즘의 예측에 필요한 다이옥신을 형성하는 전구물질인 분자 및 radical의 정확한 열역학적 물성치를 평가하기 위해 Benson's group additivity method에서는 고려되지 않는 Cl, F, OH, CH3등과 같은 2개 이상의 치환기가 결합된 방향족화합물에 대한 computer code인 THERM을 이용하여 엔탈피(Hf), 엔트로피(St), 열용량(Cp)을 평가하였다. 또한 이와 같은 열역학적 물성치 평가법의 신뢰성을 검토하기 위해 다양한 방향족화합물에 대한 실험적으로 측정된 문헌치와 평가치와의 절대오차는 para-cresol의 0.02kcal/mole에서 hexamethylbenzene의 3.46kcal/mole로 좁은 범위를 나타내었다. 또한 다이옥신을 생성하는 전구물질들의 열역학적 물성치를 THERM을 이용해 간접적으로 평가함으로써 다이옥신을 형성하는 주요 생성반응 경로에 대해 살펴본 결과는 다이옥신을 형성하는 기초반응(elementary reaction)중 욤소수가 많은 반응물질일수록 반응이 더 잘 일어남을 알수 있었다. Chlorinated dioxins are often observed in effluent from oxidation or incineration such as chlorobenzenes, chlorophenols and PCBs. It would be of significant value to have an accurate and fundamental understanding of the mechanism for dioxin formation, in addition to the knowledge of dioxin thermodynamic properties, in order to assist in the design of stategies to effectively control or reduce emissions of these compounds. Very little has been published on the thermodynamic properties and elementary reactions which lead to formation of dioxins. Benson group additivity method, when used for the estimation of thermodynamic properties of molecules, does not account for all interactions between functional groups or atoms on aromatics, such as chlorines, hydroxyl or ether linkages. Therefore thermodynamic properties of dioxins are estimated by THERM based on Benson's group additivity method corrected by interactions group. Absolute errors between our predictions and literature values range from a low of 0.02 kcal/mole for paracresol to a high 3.46kcal/mole for hexamethylbenzene. We use these thermodynamic calculations to show the feasibility of several elementary reaction pathways leading to dioxin formation, where the presence of chlorine acts to enhance or lower the Gibbs free energy of reactions.

볏짚으로 제조한 청국장의 특성

孫東和,梁成鎬,池元大 대구산업정보대학 1998 논문집 Vol.12 No.2

This study was conducted to investigate main odor components of Chungkook-jang fermented with organisms in rice straw. In order to search major aroma components, changes of aroma compounds and sensory score were compared for fermentation period. 30 aroma compounds were identified as a result of analysis using GC-MSD. Aroma of Chungkook-jang was leaded by 5 compounds, 2,5-dimethyl-pyrazine, 2,3-dimethyl-5- ethylpyrazine, trimethylpyrazine, tetramethylpyrazine and 3,5-diethyl-2- methyl-pyrazine. Major aroma components of Chungkook-jang on aging time were studied on the basic of sensory score. The desirable odor components were showed as 1-octen-3-ol and guaiacol. The undesirable odor components were appeared as butanoic acid and 3-methyl-butanoic acid